| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.36 | $19.36 | $98.89 | |
Aetna
| Professional | $19.35 | $19.36 | $32.90 | |
Anthem BCBS
| Professional | $19.48 | $19.48 | $19.48 | |
Cigna
| Facility | $21.40 | $21.40 | $21.40 | |
Cigna
| Professional | $21.40 | $21.40 | $21.40 | |
Kaiser Permanente
| Professional | $32.00 | $32.00 | $32.00 | |
Medcost
| Facility | $21.64 | $22.78 | $36.54 | |
United
| Professional | $22.78 | $22.78 | $27.34 |